# CBD MEDICAL ENTERPRISES PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CBD MEDICAL ENTERPRISES PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669729604
- **Legal business name:** CBD MEDICAL ENTERPRISES PA
- **Authorized official:** DR. THOMAS A. DUC JR. MD (PRESIDENT)
- **Authorized official phone:** (843) 266-9298

## Contact information

- **Practice address:** 1341 OLD GEORGETOWN RD, SUITE B, MT PLEASANT, SC 29464-7307
- **Practice address phone:** (843) 266-9298
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 08/09/2012